Individual
BRIAN TARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
1309 BRAMBLE RD NE, ATLANTA, GA 30329-3503
(678) 463-5515
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
2900361
NY
208M00000X
Hospitalist Physician
Primary
86999
GA
Other
Enumeration date
06/06/2014
Last updated
10/01/2024
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